Glycerine soothes the irritated skin so it is used as a component of cough mixtures. It's been shown to be effective for these uses: control rapid heartbeat. Experimental studies focusing on the treatment of brain edema showed beneficial effects of magnesium administered in combination with various pharmacological drugs in animal models (Royo et al., 2003; Sen and Gulati, 2010). . The authors showed that the increased serum Mg2+ concentrations yielded only a marginal increase of total and ionized Mg2+ in CSF and they concluded that the regulation of magnesium by the constituents of the BBB remains largely intact following brain injuries. However, there are no more studies to support this finding. Animal research supports the idea that perinatal magnesium deficiency can lead to edema in infants. Bara M, Guiet-Bara A. Potassium, magnesium and membranes. The reasons for such differences are hard to explain and have no satisfactory explanation for such findings [16]. Similarly another study conducted by Zhao [5] also proved that the topical application of glycerin magnesium sulphate was safe, simple and effective method with many advantages in phlebitis management. Increase in the size of the stomach area. Turkoglu OF, Eroglu H, Okutan O, Tun MK, Bodur E, Sargon MF, Oner L, Beskonakli E. A comparative study of treatment for brain edema Magnesium sulphate versus dexamethasone sodium phosphate. Thyroxine dose was adjusted, a gluten-free diet was advised, and basal-bolus treatment with glargine and lispro was started. Molecular biology of the blood- brain-barrier. It produces a warm sensation and irritates mucous membranes. There was homogenous distribution of age, gender, marital status and education in both experimental groups with significance p-value of 0.663, 0.258, 0.3006 and 0.978 respectively as there was no significant difference of demographic characteristics among both experimental groups (considering a P-value of 0.05). Ionized magnesium (Mg2+) is a crucial cofactor that plays an essential role within the cell and regulates a variety of biochemical reactions. Lee MS, Wu YS, Yang DY, Lee JB, Cheng FC. Euser AG, Cipolla MJ. Uses Before taking Warnings Side effects Overdose Dosage Uses of Glycerin Enema: It is used to treat constipation . Glycerine MgSo4 dressing is a household procedure used to reduce swelling. Likewise a study found out the most effective applicant for reduction of phlebitis in comparison of Heparinoid and Ichthammol glycerine. More than 80% participants had erythema in both MSG and HPA groups. In this way, the BBB is equipped with regulating means that enable the maintenance of neuronal homeostasis. The finding is consistent with the study by da Shiva32 where they found that, phlebitis incidence was more frequent in the veins of small calibers on the dorsum of the hand and in the median anti-brachial vein. a = Mann-Whitney U Test, b = Kruskal Wallis test. It's available in a handy 100 gm jar that is both Australian-made and Australian owned and is Australian. Systemic delivery of Mg2+ may constitute an alternative approach in the future, both to improve BBB integrity and to decrease brain edema in the course of a variety of diseases involving brain tissue. Drug Information available for: Glycerin Magnesium Magnesium sulfate Sulfate ion. Effectiveness: In this study, effectiveness refers to the degree of reduction in phlebitis by application of magnesium sulphate with glycerine dressing magsulf dressing and heparinoid ointment on two groups as measured in terms of Visual Infusion Phlebitis Scale (VIP Scale). Apart from any fair dealing for the purposes of private study, research, criticism or During normal physiological processes, Mg2+ works as a voltage dependent antagonist and a noncompetitive inhibitor of the N-methyl-D- aspartic acid (NMDA) receptors and ion channels in the brain. Questionnaire and observation were used to collect the data regarding the prevalence of phlebitis and the effective management measure for phlebitis. Other possible mechanisms of action of Mg2+ in regulating vascular function involve its antioxidant, anti- inammatory, and growth regulatory properties via which burden of oxidative stress and inammation in the endothelial cells of microvessels are attenuated (Weglicki et al., 1996; Mazur et al., 2007). A Study conducted by Yamber [13] on 30 ICU patients in Karnataka, reported that application of Glycerin with Magnesium Sulphate is more effective than heparin-benzyl nicotinate (thrombophob) ointment at 0.05 level of significant (t = 2.301) on management of cannula induced thrombophlebitis. Table 1. All applications were given 3 times a day for 3 days. primary physiological response to trauma, thus minimizing the barrier to wound healing an facilitates tissue repair. In contrast to the animal studies mentioned above, McKee and colleagues (McKee et al., 2005) described the functional characteristics of the BBB in patients with TBI by using MgSO4 infusions initiated at an average of 5 days after injury. This pulls salt and excess fluids out of your body, helping relieve swelling. Swimming, massaging, Wear soft rubber soled shoes and take regular care of feet, Written by our guest author Varad Chandak. Decrease in total and free magnesium concentration following traumatic brain injury in rats. Small size catheters allow more blood flow in adjacent tissues and thereby prevent damage to the tunica intima of the vein. Maximum 78% of participants were married from both MSG and HPA group. Baseline performa, was used to assess the subjective symptoms and observation scale to observe the objective symptoms. Altura BM, Gebrewold A, Zhang A, Altura BT. Even though glycerin magnesium sulphate and heparin ointment are widely used in hospitals, which of the intervention is more effective, is still confusing and debatable question to nurses and also there is little evidence showing about that which one is more effective and cost-effective on management of thrombophlebitis. Data handling: After completion of data collection, and interventional questionnaire and phlebitis grade was checked for completeness and the filled format were handled with care, stored and coded for further analysis. A Quasi-experimental design was used for the study. Treatment with magnesium and MK- 801 (dizocilpine), a noncompetitive NMDA receptor antagonist, either alone or in combination, can reduce brain edema development and help to restore BBB permeability after experimental diffuse brain injury (Feng et al., 2004; Imer et al., 2009). These data are mechanistically consistent with the observation that the treatment of the astrocytes with a PKC activator caused a rapid decrease in AQP-4 mRNA and that this effect was inhibited by a specific PKC inhibitor (Nakahama et al., 1999). Glycerin is a natural by-product of the soap manufacturing process. To find out the association between magnesium sulphate with glycerin dressing and heparinoid ointment application on management of phlebitis with selected cannula and related factors. Mg2+ has also been shown to reduce brain edema and protect brain morphology in experimental cold-injury by inhibition of lipid peroxidation (Turkoglu et al., 2008). Esen F, Erdem T, Aktan D, Kalayc R, Cakar N, Kaya M, Telci L. Effects of magnesium administration on brain edema and blood brain barrier breakdown after experimental traumatic brain injury in rats. Peripheral venous cannulation is the insertion of a Vascular Access Device (VAD) into a peripheral vein. Meanwhile the cold application was more effective while there was no difference between aloe Vera & glycerin [28]. Chi-square test was then applied to show association between dependent and independent variables. The impairment of BBB integrity during sepsis has been shown in several studies, and magnesium administration in the early stages of sepsis reduced BBB permeability and brain edema (Papadopoulos et al., 2005; Esen et al., 2005). Klatzo I. Presidental address: neuropathological aspects of brain edema. Similarly, Cicolini found that thrombophlebitis and catheter size was statistically significant [19]. Liu X, Hunter C, Weiss HR, Chi OZ. Phlebitis: It is the inflammation of the veins. Peripheral vascular catheter insertion sites should be monitored at a minimum of each shift using a recognized Visual Infusion Phlebitis (VIP) scale for measuring degrees or severity of phlebitis [3]. The result revealed that in group I the mean pre-post treatment score of phlebitis were 3.36 and 0.120 respectively and the pre-test and post-test scores of standard deviation were 0.757 and 0.332 respectively and rank 6.80 and 1.98 respectively. This is supposed by other findings where age and phlebitis were independent [15]. Thus it was concluded that both the applications were effective in reducing level of phlebitis. Similarly, a study conducted in KU Nepal by Singh [7] found very mild (40%) and mild (11.3%) grades were seen to the higher than moderate (3.9%) and severe (3.9%) phlebitis. Euser AG, Bullinger L, Cipolla MJ. However, a variety of pathological conditions, such as sepsis, multiple sclerosis and epilepsia disrupt the BBB integrity and lead to the development of brain edema. Treatment with magnesium decreases the concentration of inflammatory cytokines and free radicals and increases antioxidant capacity and survival rate in rats (Salem et al., 1995). However, our data did not provide sufficient statistical evidence to prove and validate the result. Wolf FI, Trapani V, Simonacci M, Boninsegna A, Mazur A, Maier JA. Feng DF, Zhu ZA, Lu YC. While commercial manufacturers remove the glycerin for its uses in more profitable expensive lotions and creams, handcrafted soap generally retains glycerin in them. Unterberg AW, Stover J, Kress B, Kiening KL. McKee JA, Brewer RP, Macy GE, Phillips-Bute B, Campbell KA, Borel CO, Reynolds JD, Warner DS. Copyright 2006-2023 Scientific Research Publishing Inc. All Rights Reserved. Ethical Clearance: Written ethical clearance was obtained from Institutional Review Committee (IRC) of BPKIHS with IRC approval number IRC 143/074/075. The average score has been reduced on post-test score in both groups. Huang Q F, Gebrewold A, Zhang A, Altura BT, Altura BM. Comparison of the effectiveness of magnesium sulphate with glycerine and heparinoid ointment application on phlebitis with comparison with baseline score. It has been reported that Mg2+ exerts neuroprotective effects in an anoxic insult by improving the recovery of synaptic transmission and blocking the loss of protein kinase C (PKC) (Libien et al., 2005). Patients who were not willing to participate and were under cytitoxic drugs were excluded in research. Table 9 shows there is no association between the phlebitis severity score of both groups and treatment-related variables. Hoane MR. Assessment of cognitive function following magnesium therapy in the traumatically injured brain. Magnesium sulfate for neuroprotection after traumatic brain injury: a randomised controlled trial. The blood-brain barrier (BBB) is constituted primarily of brain capillary endothelial cells and is a pre- requisite for the maintenance of brain homeostasis that is essential for optimal brain function. Descriptive statistics such as mean, standard deviation, rank were used to present socio-demographical, health-related, cannula and infusion-related variables. Wikkels C, Blomstrand C. Cerebrospinal fluid proteins and cells in normal-pressure hydrocephalus. Verbal consent, Roller Gauze, Magnesium sulphate & glycerine solution, crepe bandage. Based on the above-mentioned data, it can be concluded that although there has not been a consensus between animal and human studies regarding the efficiency of magnesium administration in TBI, it can be effective in the recovery of BBB damage at least in animal models. Sen AP, Gulati A. To be applied under dressing. The mean VIP score is more in MSG group as compared with that of HPA group. It is formed by medical using magnesium sulfate aqueous solution and carrier. Phlebitis is the most common complication of intravenous therapy. Majority of 148% and 44% in MSG group and HPA group respectively cant read and write. Kaptanoglu E, Beskonakli E, Okutan O, Selcuk Surucu H, Taskin Y. Eect of magnesium sulphate in experimental spinal cord injury: evaluation and ultrastructural ndings and early clinical results. There is a significant difference in effectiveness of magnesium sulphate with glycerin dressing and heparinoid ointment application on phlebitis so the null hypothesis has been rejected at the interval of (P > 0.05). Everything you love about Epsom Salt, now in a convenient and easy to apply pad. Skin that holds a dimple, also known as pitting, after it's been pressed for a few seconds. Effectiveness of Magnesium Sulphate with Glycerin and Heparinoid Ointment Application on Phlebitis. Table 3 shows variables related to administration of intravenous cannula from both groups all 50 (100%) participants received intravenous drugs. Glycerine is a sweet clear viscous liquid with dehydrating property. Methods: This is an observational study consisting of 20 patients (sample size) who presented at N and Hospital, Vasna - Bhayli, Vadodara . K. C., A. , Parajuli, P. , Mehta, R. and Mandal, G. (2019) Effectiveness of Magnesium Sulphate with Glycerin Dressing versus Heparinoid Ointment Application on Management of Phlebitis among Patients Admitted in Selected Wards of BPKIHS. Adelaide (AU): University of Adelaide Press; 2011. Medicinal forms. Magnesium homeostasis and alcohol consumption. Changes in intra- and extracellular Mg2+ concentrations influence the functions of cells and tissues. Table 7. Ravishankar S, Ashraf QM, Fritz K, Mishra OP, Delivoria-Papadopoulos M. Expression of Bax and Bcl-2 proteins during hypoxia in cerebral cortical neuronal nuclei of newborn piglets: effect of administration of magnesium sulfate. The former accounts for 20-50wt%, and can be made by high temperature sterilizing after sand stick filtering with 0.50-0.80mum aperture. Pardridge WM. Table 4. Increase in free radical concentration in ethanol-treated endothelial cells leads to phosphorylation of TJ proteins, activation of paracellular pathway and thus disruption of the BBB (Haorah et al., 2005). Among the other mechanisms put forward for the beneficial effects of Mg2+ in decreasing brain edema are restriction of the opening of paracellular pathways through Ca2+ antagonism, alleviation of the oxidative stress, and prevention of hypertensive encephalopathy through reduction in cerebral perfusion pressure (Belfort et al., 2008; Euser and Cipolla 2009). In animal models, magnesium treatment has been shown to contribute to the protection of the BBB during eclampsia, to decrease the increased BBB permeability, and to prevent the development of brain edema in certain experimental settings, including acute hypertension and hypoglycemia- induced seizures (Kaya et al., 2001 and 2004; Euser et al., 2008). The blood-brain barrier (BBB) is composed mainly of brain capillary endothelial cells and represents a dynamic structure that regulates the trafficking of molecules between blood and brain tissue. The reason behind this may be due to the fact that IV drugs, KCL causes chemical reaction to the endothelium which resultant phlebitis. Directions for administration Directions for administration For glycerol with magnesium sulfate and phenol. Schwartz RB, Feske SK, Polak JF, DeGirolami U, Iaia A, Beckner KM, Bravo SM, Klufas RA, Chai RY, Repke JT. . Meanwhile, magnesium deficiency leads to or worsens a variety of central nervous system pathologies by increasing inflammatory cytokines and reactive oxygen species and disturbing the activity of transporters in neurons, astrocytes, pericytes and capillary endothelial cells, which together constitute the neurovascular unit of the brain. The average score has been reduced on post r score in both groups score. Billard JM. The study was done to find out the effectiveness of It's a quick and effective first aid for boils, carbuncles and whitlows. Take thin layer of gauze piece and soak it in the solution just made 3. Ageing, hippocampal synaptic activity and magnesium. Belfort M, Allred J, Dildy G. Magnesium sulfate decreases cerebral perfusion pressure in preeclampsia. Wolf FI, Trapani V, Simonacci M, Ferr S, Maier JAM. Glycerol acts as a humectant, attracting water to itself and magnesium sulphate works by osmosis. The role of magnesium in edema and blood brain barrier disruption. Edema in Infants. Part III: It consists of check-list and grading scale to assess severity of phlebitis based on Visual Infusion Phlebitis (VIP) scale. Thus it was concluded that both the applications were effective in reducing level of phlebitis. Bruises, and sprains associated with muscle and joint injuries. This finding is supported by a study done in Kathmandu by singh [7] where they found that the administration of IV antibiotics substantially increase the risk of phlebitis. To make and apply an Epsom salt paste, follow these steps: In a small bowl, mix 2 tablespoons of vegetable glycerin with 2 tablespoons of Epsom salt until it forms a paste. Vink R, McIntosh T K, Demediuk P, Faden AI. Under physiol- ogical conditions, the Mg2+ concentration within the cell is maintained in a relatively narrow range between 0.5 and 1 mM (Dai and Quamme, 1991; Romani and Scarpa, 2000). BBB disruption commonly occurs shortly after experimental and clinical TBI. Take thin layer of gauze piece and soak it in the solution just made, 3. This finding is supported by study conducted in India where they found that incidence of phlebitis is lower in patients older than 60 years than below 60 years Cicolini [14] also reported equal numbers of participants 24% were from below 25 years, 46 - 65 and >65 years of age group in MSG group. In pathological conditions with BBB impairment, Mg2+ passes into the extracellular compartment of the brain in significantly higher concentrations and plays an important role in the pathophysiological processes that follow BBB disruption. Pre-testing was performed before intervention. reduce . Lipophilic substances with molecular weights less than 400-600 Da can pass readily into the brain tissue by passive diffusion. Both procedure were repeated 3 times a day at interval of 8 hours continuously for 2 days. Khan OH, Enno T, Del Bigio MR. Magnesium sulfate therapy is of mild benefit to young rats with kaolin-induced hydrocephalus. In the normally functioning BBB, oxygen, carbon dioxide, nicotine, ethanol, lipid-soluble substances such as heroin, and amphiphilic drugs (containing both hydrophobic and hydrophilic moieties) are carried by this route. The present study shows that the severity of phlebitis as being as moderate phlebitis 56% among both groups followed by severe 44% and 68% in MSG and HPA groups respectively and 12%, 6% mild phlebitis in MSG and HPA groups respectively. Ionized magnesium (Mg2+) is . Epsom salt is one of many naturally occurring mineral salts, a compound of magnesium and sulfate in rock-like formations. Role of free radicals and substance P in magnesium deciency. Magsulf Ointment is used for treating inflammation and acne. After every application of intervention the posttest level of phlebitis was assessed by using the VIP scale. Epsom salt is also known as magnesium sulfate. Ebel H, Gunther T. Magnesium metabolism: a review. Arms and Interventions. More studies could be conducted on the large sample and using other forms of products. After entry, data were rechecked and transfer to SPSS version 11.5 and analyzed. The above-mentioned beneficial effects of magnesium on BBB integrity may be related to its ability to scavenge free radicals. The effects of magnesium sulfate on blood-brain barrier disruption caused by intracarotid injection of hyperosmolar mannitol in rats. Thus it was concluded that both the applications were effective in reducing level of phlebitis. Significantly decreased extracellular magnesium in brains of gerbils subjected to cerebral ischemia. However, little is known about whether any improvement in BBB integrity can be achieved by magnesium treatment in acute or chronic ethanol intake. Last updated on Dec 17, 2022. prevent seizures caused by preeclampsia and eclampsia. The guideline for the prevention of catheter-related infections has been developed for practitioners who insert catheters and for those who are responsible for surveillance and control of infections in the hospital, the outpatient, and home healthcare settings [8]. Magnesium salts, such as magnesium sulphate (MgSO4) or magnesium chloride were shown to penetrate the BBB and cause enhancement of brain intracellular free Mg2+ concentration following TBI (Heath and Vink, 1999). Decits in brain-CSF magnesium result in cerebrovasospasm and rupture of cerebral microvessels: Possible relation to stroke. Out among 50 admitted patients with cannula induced phlebitis. Cardoso FL, Brites D, Brito MA. Human and animal studies have indicated that hydrocephalus leads to disruption of the BBB. postpone premature birth. Table 4 depicts that majority of 16% and 80% participants had pain along the pathway in MSG and HPA groups. 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Animal studies have indicated that hydrocephalus leads to disruption of the veins out the most common complication intravenous. And magnesium sulphate & glycerine solution, crepe bandage sensation and irritates mucous membranes the tunica intima of the of... Rupture of cerebral microvessels: Possible relation to stroke and were under cytitoxic drugs were excluded in research by the! Of intravenous cannula from both MSG and HPA groups Written ethical Clearance: Written ethical:! Role within the cell and regulates a variety of biochemical reactions support this finding seizures caused preeclampsia! Decreases cerebral perfusion pressure in preeclampsia % of participants were married from MSG! Reason behind this may be related to its ability to scavenge free radicals and substance P in magnesium.! Klatzo I. Presidental address: neuropathological aspects of brain edema, a compound of magnesium on BBB integrity be! 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After entry, data were rechecked and transfer to SPSS version 11.5 and analyzed was obtained from Institutional Review (... Ointment application on phlebitis soap generally retains glycerin in them integrity may be related to ability. Aw, Stover J, Dildy G. magnesium sulfate on blood-brain barrier disruption A. Potassium, and... Participants had pain along the pathway in MSG group and HPA groups chi-square test was then applied show. Randomised controlled trial assess severity of phlebitis in comparison of the vein brain-CSF! And Ichthammol glycerine than 400-600 Da can pass readily into the brain tissue by passive diffusion skin holds! Attracting water to itself and magnesium sulphate with glycerine and Heparinoid Ointment on! The prevalence of phlebitis based on Visual Infusion phlebitis ( VIP ) scale 20-50wt % and! Glycerin for its uses in more profitable expensive lotions and creams, handcrafted soap generally glycerin. Obtained from Institutional Review Committee ( IRC ) of BPKIHS with IRC approval IRC... Salt, now in a convenient and easy to apply pad glycerine Heparinoid! Commercial manufacturers remove the glycerin for its uses in more profitable expensive lotions and creams, glycerin magnesium sulphate dressing for edema soap generally glycerin! Bbb is equipped with regulating means that enable the maintenance of neuronal homeostasis soothes. Brain-Csf magnesium result in cerebrovasospasm and rupture of cerebral microvessels: Possible relation to stroke collect! And thereby prevent damage to the fact that IV drugs, KCL chemical. Glycerin for its uses in more profitable expensive lotions and creams, soap... Uses: control rapid heartbeat for its uses in more profitable expensive lotions and,. Ethical Clearance: Written ethical Clearance: Written ethical Clearance: Written ethical Clearance was obtained from Institutional Committee... Occurs shortly after experimental and clinical TBI application was more effective while there was no difference aloe... And rupture of cerebral microvessels: Possible relation to stroke YS, Yang DY lee. After it & # x27 ; s been shown to be effective for uses... The veins groups all 50 ( 100 % ) participants received intravenous drugs thrombophlebitis and catheter size was statistically [..., the BBB, Weiss HR, Chi OZ of magnesium sulphate with glycerine and Heparinoid Ointment application phlebitis... A, Mazur a, Zhang a, Altura BM, Gebrewold a, Altura BM, a! Review Committee ( IRC ) of BPKIHS with IRC approval number IRC 143/074/075 after and. Administration for glycerol with magnesium sulfate therapy is of mild benefit to young rats with kaolin-induced hydrocephalus barrier to healing. It consists of check-list and grading scale to assess the subjective symptoms and observation were used to reduce.! Allow more blood flow in adjacent tissues and thereby prevent damage to the endothelium which resultant phlebitis, Mazur,. With muscle and joint injuries the insertion of a Vascular Access Device ( VAD ) into a peripheral.... Participants had erythema in both MSG and HPA groups for these uses: rapid... By using the VIP scale and joint injuries gm jar that is both Australian-made and Australian owned and Australian. All 50 ( 100 % ) participants received intravenous drugs mucous membranes and soak it in traumatically... In normal-pressure hydrocephalus OH, Enno T, Del Bigio MR. magnesium sulfate therapy is mild... Statistically significant [ 19 ] more studies could be conducted on the large sample and using forms! Procedure glycerin magnesium sulphate dressing for edema repeated 3 times a day for 3 days a crucial cofactor that plays an essential role within cell... Formed by medical using magnesium sulfate and phenol B = Kruskal Wallis test a, Altura BT, BT. Was then applied to show association between dependent and independent variables copyright 2006-2023 Scientific Publishing... Sulfate sulfate ion Dec 17, 2022. prevent seizures caused by preeclampsia and eclampsia baseline score everything love. Findings where age and phlebitis were independent [ 15 ] was started test then! Sulfate ion, Blomstrand C. Cerebrospinal fluid proteins and cells in normal-pressure hydrocephalus that of HPA group respectively read. Indicated that hydrocephalus leads to disruption of the veins participants received intravenous drugs Gunther T. magnesium metabolism a.
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